Chief of Pediatric
Surgery Saad A. Saad, M.D., speaks
with 3-year-old Zachary Mueller
of Little Silver after his hernia
surgery — performed through
an innovative technique that
eliminates the need for second
incision.
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In 1996, hernia repair surgery for children
made history at Monmouth Medical Center.
Saad A. Saad, M.D., and Michael A. Goldfarb,
M.D., FACS, became the first surgeons in the
country to successfully perform an innovative
technique that eliminates the need for a second
incision
— a surgical breakthrough that has since
become the standard of care.
While conventional hernia surgery had meant
repairing the protusion on the affected side
of the abdomen and then making another surgical
incision on the other side to check for a second
hernia, Chief of Pediatric Surgery Saad A. Saad,
M.D., speaks with 3-year-old Zachary Mueller
of Little Silver after his hernia surgery — performed
through an innovative technique that eliminates
the need for second incision. Dr. Saad found
that through the use of a bronchoscope — a
telescope with working channels used to look
inside the windpipe — he could explore
the abdomen on the opposite side through the
first incision.
Through this technique, known as contralateral
exploration of inguinal hernia, most children
can avoid unnecessary scarring from a second
incision, as well as wound infections.
Surgery to repair hernias is one of the most
common operations for children, and in 80 percent
of the cases, there is no hernia on the opposite
side.
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